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Updated: Jun 22, 2026
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
[Infantile hypertrophic pyloric stenosis. Report of 142 cases]
Said Jlidi1, Dhouha Ben Youssef, Sofiene Ghorbel
1Service de Chirurgie Pédiatrique B, Hôpital d'Enfants de Tunis.
Insights
Hypertrophic pyloric stenosis (HPS) is a common infant condition. Early diagnosis and surgical treatment of HPS are crucial for preventing complications and ensuring good long-term outcomes.
Area of Science:
- Pediatric Surgery
- Infant Gastroenterology
Context:
- Hypertrophic pyloric stenosis (HPS) is a frequent condition in infants under three months.
- Understanding HPS particularities is crucial for timely diagnosis and treatment.
Purpose:
- To analyze HPS cases and compare findings with existing literature.
- To identify specific characteristics of HPS within the country.
Summary:
- A retrospective review of 142 HPS patients (1990-2003) revealed male predominance (3.8:1).
- Projectile vomiting was a constant symptom; pyloric tumor palpated in 19.7%, metabolic disturbance in 44.3%.
- Diagnosis confirmed by ultrasonography/contrast studies; late diagnosis led to mortality in 3 pre-operative cases. Surgical treatment had an 87.4% uneventful postoperative course, with 3 post-operative deaths due to medical complications.
Impact:
- Early HPS diagnosis via clinical features and imaging prevents metabolic complications.
- Surgical treatment for HPS facilitates early feeding and offers a low complication rate with favorable long-term outcomes.
Background:
Hypertrophic pyloric stenosis (HPS) is a common condition affecting infants before the first three months of life.
Aim:
Analysis of our results and comparison with literature to determine particularities of HPS in our country.
Methods:
We conducted a retrospective review of 142 patients presenting HPS, between 1990 and 2003.
Results:
In this study male sex was predominant, with a sex-ratio of 3.8/1. The classical symptom of projectile vomiting was always present, a pyloric tumor was palpated in 19.7% of the cases, metabolic disturbance was noted in 44.3% of patients. The diagnosis was confirmed by ultrasonography and sometimes contrast upper gastrointestinal study. All the infants were treated surgically unless three patients dying before operation, because of a late diagnosis. Postoperative courses were uneventful in 87.4% of cases. Three patients were dead after operation, because of medical complication.
Conclusion:
The cause of HPS is unknown. The diagnosis is suggested by clinic features and confirmed by imaging. Early diagnosis prevents from metabolic complications due to vomiting. Surgical treatment allows early feeding and is associated with a low complication rate and a good long-term outcome.
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